NICU Education, Cardiac Unit, Free Water Protocol, ListServ Summary, Sept 2025

Rehab administrators answer questions regarding NICU Education, Cardiac Unit, and Free Water Protocols. IPRC archives information collected by the Pediatric Rehab Administrator’s ListServ as a public service to the entire Pediatric Rehabilitation Community. All information is posted in summary format and has been de-identified. Search through past queries for responses to rehabilitation related questions.

Original Questions:

1. NICU Education
   1. What training in manual therapy techniques does your NICU prioritize in your standard of care for treating neonatal infants with severe respiratory compromise?
   2. What NICU Outcome measures do you use in your NICU to measure success of your therapy interventions?
   3. Are there individuals on your team who would be experts in manual therapy and willing to connect with members of our team surrounding training strategies? If so, please provide contact info.

2. Cardiac Unit Questions
   1. At your facility, are patients who are on IV Milrinone allowed off the unit for therapies without a nurse present?
   2. If yes, what safety parameters are in place?
      • What is the communication pathway with RNs?
      • What are the parameters for vitals monitoring?
      • What are reasons why a therapist would not leave the unit with a patient on IV Milrinone?

3. Free Water Protocol
   1. Are your teams using the Frazier free water protocol or a modified version in your space?
   2. If modified, what modifications are you using?

Summary of Responses (de-identified)